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Antigen Test For A Specific Infection

New Mexico rates for HCPCS 87380

A laboratory test that detects an infectious organism directly in a sample, using antibodies that latch onto part of the organism itself. Because it looks for the organism rather than the body's response to it, a positive result points to infection at the time the sample was taken.

Rates data updated July 2026.

How much does Antigen Test For A Specific Infection cost?

$21.88

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $21.88 for this service. The price depends on where it is billed: about $13.80 from a physician practice, and about $58.88 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.80$13.80 to $21.88
FacilityA hospital or hospital-owned outpatient department$58.88$27.54 to $120

How much rates vary

Facilitymedian $59 · 10th to 90th $17 to $186Professionalmedian $14 · 10th to 90th $10 to $120
$10$100$1K$10K$100Kfacility $59professional $14

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$27.54
Median
$54.95
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$15.14
Typical High
$120.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$117.49
Typical High
$199.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$15.14
Typical High
$17.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$25.12
Typical High
$35.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$20.89
Typical High
$28.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$10.23
Median
$25.12
Typical High
$40.74
United
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$18.20
Typical High
$27.54
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.77
Typical High
$13.80

Where New Mexico sits

The same service costs 2.5 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 14th of 51

$21.88

SD $33.88MD $13.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.